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Challenges and solutions across sectors in multi-dose drug dispensing
Maja Schlünsen1,2,3, Joo Hanne Poulsen Revell1,2,3, Eva Holtved4
1Hospital Pharmacy, University Hospital of Southern Denmark, Aabenraa.
Danish Medical Journal
|April 14, 2026
Summary
Healthcare professionals found automated multi-dose drug dispensing (MDD) challenging during hospital to general practice transitions. Optimizing MDD requires enhanced pharmacy collaboration and clearer responsibilities to improve patient care.
Area of Science:
- Pharmacy Practice
- Healthcare Management
- Patient Safety
Background:
- Automated multi-dose drug dispensing (MDD) improves safety and adherence but poses challenges during care transitions.
- Healthcare professionals report frustration with MDD use when moving between hospital and general practice settings.
Purpose of the Study:
- To explore healthcare professionals' perspectives on using MDD during the transition from hospital to general practice.
Main Methods:
- A focus group interview was conducted in April 2024.
- Participants included hospital-based physicians (HBPs), general practitioners (GPs), and clinical pharmacists.
- The study was conducted at the University Hospital of Southern Denmark.
Main Results:
- GPs generally held more positive views of MDD than HBPs.
- HBPs experienced complexity in managing medication changes due to insufficient knowledge and lack of support for MDD.
- Discontinuation of MDD increased GP workload post-discharge, with proposed solutions involving pharmacy staff and community pharmacies.
Conclusions:
- Optimizing MDD management in hospitals necessitates the involvement of pharmacy personnel.
- Enhanced collaboration and coordination between pharmacies and healthcare providers are crucial for strengthening primary healthcare.
- Regulatory amendments may be needed to clarify MDD responsibilities, potentially transferring them to community pharmacies.
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